Allied Dental Care P.c. | |
375 W Route 59 Spring Valley NY 10977-5339 | |
(845) 352-5410 | |
(845) 352-5412 |
Full Name | Allied Dental Care P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 375 W Route 59, Spring Valley, New York |
Authorized Official Name and Position | Yelena Nutskovsky (PRESIDENT) |
Authorized Official Contact | 8453525410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Allied Dental Care P.c. 375 W Route 59 Spring Valley NY 10977-5339 Ph: (845) 352-5410 | Allied Dental Care P.c. 375 W Route 59 Spring Valley NY 10977-5339 Ph: (845) 352-5410 |
NPI Number | 1790099844 |
---|---|
Provider Enumeration Date | 07/31/2010 |
Last Update Date | 07/31/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790099844 | NPI | - | NPPES |
02512861 | Medicaid | NY | |
1932154382 | Other | NY | PERSONAL NPI |
9178018 | Other | NY | FIDELIS ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049884 (New York) | Primary |
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